June 2003
Washington State Employment Security Department
Washington State implemented its WorkFirst Post-Employment Labor Exchange (WPLEX) in 1998 to provide post-employment services through a centralized call center. Staff contact individuals to provide them with guidance on career advancement, tips on specific job opportunities in the customer's labor market, vouchers for certain support services, and referral to social services and education providers. Washington's Employment Security Department hired The Lewin Group and its subcontractor, Cornell University, to conduct an evaluation of WPLEX. This report presents an overview of the program, an in-depth examination of the program's implementation and costs, and analysis of the effectiveness of WPLEX in moving individuals from welfare to work.
Client Area: State and Local Governments
Expertise Area: Employment, Training, and Workforce Development
March 2003
Office of the California Attorney General
This report, prepared for the Office of the California Attorney General, assesses the potential effects of the acquisition of the University of Southern California – Kenneth Norris Jr. Cancer Hospital, a California nonprofit public benefit corporation, by Tenet Healthcare Corporation on the availability and accessibility of health care services.
Client Area: State and Local Governments
February 2003
University of Maryland, Baltimore County
The home and community-based Medicaid waiver that serves seniors in Maryland requires restructuring, in order to make services available to eligible seniors on a more expedited basis. In our report, we researched this waiver, known as the "Older Adults Waiver," and we made several recommendations to make the it more efficient. These recommendations include a sequence to develop a single point of entry, as well as tools to recruit, retain and pay providers, to ensure capacity in the community.
Client Area: State and Local Governments
Expertise Area: Aging and Disability, Medicaid and CHIP
December 2002
Office of Vermont Health Access
Lewin contact: John Sheils
The Lewin Group analyzed an 1115 waiver concept that would provide vouchers for the purchase of health insurance to people who are currently eligible under the Vermont Health Access Plan (VHAP) and State Children's Health Insurance Program (SCHIP). In this analysis, Lewin estimates the number of persons who would be covered under the voucher program and the cost of providing the benefits called for under the proposal. The paper also provides estimates of the impact of the waiver on the number of persons in the state of Vermont who do not have health insurance.
Client Area: State and Local Governments
Expertise Area: Health Reform, Medicaid and CHIP
November 2002
Minnesota Department of Human Services
Minnesota’s Department of Human Services (DHS) engaged The Lewin Group to assist in the development of a performance payment system for the state’s prepaid medical assistance program (PMAP) and MinnesotaCare. This report describes the performance payment system that has been recommended to DHS, based on input from the health plans, from DHS staff, and from Lewin’s consulting team.
Client Area: State and Local Governments
Expertise Area: Medicaid and CHIP
November 2002
Wisconsin Legislative Audit Bureau
Lewin contact: Lisa Alecxih
This third implementation report for the Wisconsin Legislative Audit Bureau regarding the Family Care program serves as an update to The Lewin Group's August 2001 report. It notes the progress made in implementing the Family Care model in the pilot counties, as well as issues the State and the counties will need to address as program expansion is considered.
Client Area: State and Local Governments
Expertise Area: Aging and Disability
October 2002
Washington State Legislature
Like Washington, almost all states are experiencing a fiscal crisis, and Medicaid is considered to be one of the largest causes of the budget problem. States have several policy tools to address these budget challenges. For varying reasons, all can be politically difficult, and all represent hard choices. Most states have begun implementing cost containment strategies but few have saved enough money to entirely solve their budget problems.
Through an innovative cost containment project for the State of Washington, whereby Lewin jointly was hired by the Governor's budget office and the Legislature's fiscal committees, Lewin measured the success of Washington's recent cost containment initiatives, including a series of pharmacy strategies commenced in 2002. Lewin also presented to Washington additional Medicaid cost containment options based on other states' approaches, and we modeled the potential savings to Washington of each "imported" option, utilizing data provided to us by Washington. This is the first of three reports prepared for this project. Report No. 1 inventories Washington's ongoing Medicaid cost containment activities.
Client Area: State and Local Governments
Expertise Area: Medicaid and CHIP
April 2002
California Health and Human Services Agency
Lewin contact: John Sheils
The California Health and Human Services Agency engaged The Lewin Group to analyze the cost and coverage impacts of nine proposals to expand health insurance coverage in the state. The analysis included estimating the portion of the 6.6 million uninsured persons in California who would become insured under each proposal.
Client Area: State and Local Governments
Expertise Area: Health Reform
March 2002
South Dakota Department of Health
Lewin contact: John Sheils
In 2001 South Dakota was one of nine states awarded one-year grants from the federal Health Resources and Services Administration (HRSA) to conduct a survey and study of the state's uninsured population. The state contracted with The Lewin Group to conduct the survey which included statewide telephone surveys of more than 20,000 households and also of 401 South Dakota employers. Eight focus group interviews were also conducted with selected high-risk populations such as farmers and ranchers, Native Americans and low-income households.
Client Area: State and Local Governments
Expertise Area: Health Reform
November 2001
California Office of the Attorney General
This report, prepared for the Office of the California Attorney General assesses the potential effects of the acquisition of Daniel Freeman Hospitals, Inc., owner of Daniel Freeman Memorial Hospital (Inglewood, CA) and Daniel Freeman Marina Hospital (Marina del Rey, CA) by Tenet Healthcare Corporation on the availability and accessibility of health care services.
Client Area: State and Local Governments
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